Configuring Evaluate auto pay
Extend your application layer with the
PegaMfg-AMS-Work-WR-CL-ClaimUnit.EvaluateAutoPay
data transform to apply
the decision logic to auto-adjudicate a claim. PegaMfg-AMS-
Work-WR-CL-ClaimUnit.EvaluateAutoPay
rule calls the
PegaMfg-AMS-Work-WR-CL- ClaimUnit.EvaluateAutoPay
decision tree to
determine if the claim should be automatically paid.
This decision tree returns a paid value whenever a claim unit is created from a prior approval and is not modified, or when the total coverage amount is less than or equal to a pre-configured value, for example, $999.
In the navigation panel of Dev Studio, click
Click
.Click the filter for Decision Tree and search for
EvaluateAutoPay.
Click the rule to open it.
Configure as needed and save the rule into your implementation layer. For additional information about locked and unlocked rulesets, see Copying a rule or data instance.
Click Save.
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